Debra Sue Mahoney is a Family in Gladewater, Texas. Debra Sue Mahoney practices all healthcare services and medical treatments related to Family. The NPI Number for Debra Sue Mahoney is 1265619241. The last update date is 2016-06-17.
Debra Sue Mahoney's current location address is 1600 Broadway Ave, Gladewater, Texas. You can contact this provider via phone number 9033155630 and fax number 9038456212. The mailing address for Debra Sue Mahoney is 1600 Broadway Ave, Gladewater, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Debra Sue Mahoney |
|---|---|
| Address | 1600 Broadway Ave, Gladewater, Texas |
| Phone Number | 9033155630 |
| Fax Number | 9038456212 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1265619241 |
|---|---|
| Provider Enumeration Date | 2008-01-22 |
| Last Updated Date | 2016-06-17 |
Provider Mailing Address Detail
| Address | 1600 Broadway Ave |
|---|---|
| City | Gladewater |
| State | Texas (TX) |
| Post Code | 756475040 |
| Phone Number | 9033155630 |
| Fax Number | 9038456212 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | AP109268 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique provider identifier assigned to Debra Sue Mahoney?
The Debra Sue Mahoney has been issued the NPI (National Provider Identifier) 1265619241 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Debra Sue Mahoney located?
The Debra Sue Mahoney is located at 1600 Broadway Ave, Gladewater, TX 756475040.
What is Debra Sue Mahoney's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Debra Sue Mahoney is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.
When did Debra Sue Mahoney receive its 1265619241 assignment?
The Debra Sue Mahoney was assigned its 1265619241 on 2008-01-22, which is the date when this unique identifier was issued to the organization.
When was the information regarding Debra Sue Mahoney, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Debra Sue Mahoney, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-06-17.
NPI Number: 1982607784
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